Suzanne Michelle Bowling, PH..D, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY1107 Issued in KY

Practice address

503 Fifth Street
Suite B
Henderson, KY 42420-3053

Phone

(270) 577-3012

Fax

(270) 826-8261

NPI assigned

Jan 18, 2007

Last updated

Sep 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1770635617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1619",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424191619",
            "telephone_number": "270-577-3012",
            "fax_number": "270-826-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 FIFTH STREET",
            "address_2": "SUITE B",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203053",
            "telephone_number": "270-577-3012",
            "fax_number": "270-826-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "SUZANNE",
        "middle_name": "MICHELLE",
        "credential": "PH..D, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002055A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Bercaw, PHARM D
• Sarah M Bickett, PA-C
• Wayland G Blikken, MD
• Danielle N Board, APRN
• Leslie Bobo-Kiesel, RDN
• Abigail Thrasher Boyd, MS, CCC-SLP
• Brad T Fulkerson, DMD,MSD,LLC
• Rebecca Lynn Braden
• Trudy Bramblett, LPCC
• Nolan Bramschreiber

• Speech-Language Pathologist in Henderson, KY
• Providers in Henderson, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.